Bleeds and Bruises in Children with Haemophilia

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Bleeds and Bruises in CHildren WiTH HaeMOPHilia MusCle ANd/or JoiNt Bleeds Call the parent/guardian P.r.i.C.e. siGNs oF A serious HeAd Bleed P : Protection * Headache. Lower Limb: Take weight off the joint or muscle * drowsiness. Upper Limb: No carrying using affected arm * Nausea. r : rest * Vomiting. • Rest means rest! * unsteady Balance. • Try not to allow use of the joint or muscle where * irritability. possible. * Confusion. * seizures. i : ice * loss of consciousness. • Regular ice packs can help with pain & reduce swelling. • Put an ice pack over the affected area for 20 minutes. Repeat every two hours. DO NOT leave the ice pack on for more than 20 minutes siGNs oF A soFt tissue DO NOT place ice pack directly on skin (Use a tea Bleed towel/cold pack cover) * Bruising, discolouring of skin. C : Compression * Mild swelling. • Use an elasticated bandage to compress the affected area to reduce swelling. e : elevation • Elevate the affected limb to help reduce swelling. siGNs oF AN ABdoMiNAl • Keep the affected joint or muscle above the level of the Bleed heart. * Bloody, black or tar-like First Aid bowel motions. * red or brown urine. Mouth & Gum Bleeds * Pain. These can be hard to control because clots that form are * Vomiting of blood (blood washed away by saliva or knocked off by the tongue or food. Try giving the child an ice cube or ice pop to suck. may be red or black). These bleeds may need treatment by parents or the treatment centre. Nosebleeds siGNs oF BleediNG iNto tHe Tilt head forward and pinch the bridge of the nose below the bone for 10 - 20 minutes and / or put an ice-pack on JoiNts or MusCles the bridge of the nose for not more than 5 minutes. * tingling / tightness. * Pain. Cuts and Grazes * redness. Cover with a plaster and bandage. Apply pressure for a * swelling. few minutes. Deep cuts may need stitching, if so contact * Warmth. parents and/or haemophilia treatment centre. * tenderness. Bruises * reluctance to move the affected Children with haemophilia bruise more easily than limb / joint. children without haemophilia and their bruises will be bigger. Bruises only need treatment if they are very painful. Bleeds in the following areas are especially serious and require immediate attention: * HeAd * eYe * NeCK * ABdoMeN * GroiN * HiP Call parents and Haemophilia treatment Centre immediately. Contact parents immediately for instructions if child has prolonged bleeding or serious injury. Child: ________________________________________ Parents: _________________________________________________ Alternative contacts: ________________________________________________________________________________________ Treatment Centre Contact Number: _________________________ Haemophilia Nurse Specialist: __________________________ Produced by the irish Haemophilia society, 1st Floor, Cathedral Court, New street, dublin 8. Phone: 01 657 9900 Fax: 01 657 9901 email: [email protected] Web: www.haemophilia.ie.

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